Friday, March 23, 2018

Where Did I Go?

Click on the video below for an update



Disclaimer: I am not a doctor, nutritionist, nor personal trainer. Never take medical advice over the internet. Seek the advice of your doctor before following any of the recommendations made during this series.

Thursday, March 22, 2018

Side Effects of Thyroid Medicine

The Thyroidectomy forums are filled with questions such as "Is anyone else noticing hair loss?"

 The side effects of thyroid medicine ( Levothyroxine (synthroid, Unithroid, others))  are not hard to find nor follow - the instructions come with the medicine straight from the pharmacy with your medicine. You should be thoroughly familiar with that information. You can also check the manufacturer's website. Thoroughly read the information from the pharmacy.

Some of the side effects include:

  • Partial hair loss may occur during the first few months of taking
  • Rapid or abnormal heartbeat
  • Chest pain
  • Difficulty catching your breath
  • Leg cramps
  • Headache
  • Nervousness
  • Irritability
  • Sleeplessness
  • Shaking
  • Change in appetite
  • Weight gain or loss
  • Increased sweating
  • Difficulty tolerating heat
  • and more.... 



CONCLUSION

Most importantly: don't take medical advice from the internet (including from me). Listen to the professionals: your doctor, pharmacist, and the manufacturer's directions.  Read the material that comes with the medicine and you'll find most of the answers to your questions.

Wednesday, March 21, 2018

What Time Of Day To Take Thyroid Medicine?

I have written about this before yet I still see this question come up often within the Thyroidectomy groups: what is the best time of day to take thyroid medicine ( Levothyroxine (synthroid, Unithroid, others)).



The question is usually answered with a lot of misinformation. People are all over the clock. They don't know why they take it when they do, but they don't have any problems, and they recommend you take it at that time too. This is dangerous advice!

There are several things that can interfere with Levothyroxine absorption and make it less effective: an empty stomach,  calcium, and even walnuts! Many food items, including supplements and antacids, can interfere with the absorption.

The instructions are not hard to find nor follow - the instructions come with the medicine straight from the pharmacy. You can also check the manufacturer's website. Thoroughly read the information from the pharmacy.

1. Take it at the same time every day

2. If you forget a dose, take it as soon as you can

3. Do not eat anything one hour before nor one hour after taking the medicine

4. Do not consume calcium or iron four hours before nor four hours after taking the medicine

5. Foods to avoid include Soybean flour, cottonseed meal, walnuts, dietary fiber, and grapefruit juice eaten 4 hours before or after taking the medication.


PILL MANUFACTURERS

Switching between pill manufacturers can change the results. Therefore, talk to your pharmacist about always getting the same pills. If you switch pharmacies, make sure you are getting the same manufacturer. Sometimes your doctor can help by writing the prescription in such a way that assures a certain manufacturer is always used.



CONCLUSION

Most importantly: don't take medical advice from the internet (including from me). Listen to the professionals: your doctor, pharmacist, and the manufacturer's directions.  Read the material that comes with the medicine and you'll find most of the answers to your questions.

Tuesday, March 20, 2018

Heart Attack At Age 45 Alive

Just in case my blog isn't motivation enough, I want to point out a great new Podcast that my daughter turned me on to: Heart Attack At Age 45 Alive.

The podcast is about dealing with a life change resulting from a medical issue. Coach Lipani had a heart attack at age 45 that left him depressed and out of shape. But he is turning that around and has a lot to tell about his journey. He got the help he needed, he walks to work, and he has changed to a plant based diet. The entire family is on board and making the change with him.

A heart attack was Coach Lipani's health crisis. Our health crisis was cancer. Like coach, we are being forced to make some life changes. Those changes are difficult - not just because change is difficult, not just because no one understands - it is difficult because our bodies have been left depleted and in a condition unlike never before.

I encourage you to check out the podcast. You'll love hearing coach's kids,  learning (as they learn) about cooking healthy with his wife in the kitchen, the inspirational stories, the encouragement provided by someone who cares, and delivered the way a coach can deliver that encouragement. You'll also hear from many health experts that he interviews.

You can read more about Coach Lipani and the podcast in this newspaper article.

Monday, March 19, 2018

Thyroidectomy Weight Control: Buying Exercise Equipment

You have decided to get in shape. You aren't interested in joining a gym. So you have decided you need a piece  of exercise equipment to make that happen. Congrats!

First, you don't really need a piece of equipment (treadmill, stationary bike, elliptical, etc). You just need to go outside and move: walk, jog, run, whatever. But perhaps going outside isn't an option (for whatever the reason) and you are determined to make a purchase.

First (as always) check with your doctor before starting exercise. You aren't as young as you used to be, and your doctor will have some good and effective ideas for you to try. For example, my doctor told me to use an elliptical because it would be easier on my joints.

Next, whatever piece of equipment you get, make sure it has plenty of handles and bars. Most people give up on using the equipment and use it, instead, to hang and dry clothes. You want to make sure there are a lot of places to hang things.


And that brings me to my third piece of advice: don't buy new. It is very tempting to go to the store and pay a lot for something shinny and new. Don't do it. Look at the classified or craig's list and you will find a lot of equipment for sale. Most people buy the equipment and then don't use it. And many of those people will get rid of it instead of hang clothes on it. Often these pieces of equipment have  only been used a couple of times! And you will pay pennies on the dollar!


I have a fully stocked gym in the basement of my house - nearly all of which stocked, pennies on the dollar, with slightly used gym equipment!

Different equipment will have different bells and whistles and stuff: digital displays, coaches, phone connection, disco lights, etc. Just set yours up in sight of a TV with a fan to blow on you and the bells and whistles won't matter. Sure the bells and whistles are fun.. the first several times you use it. Then you'll realize none of them really matters.


If you are getting a treadmill or elliptical, three things do matter: (1) The length of the track. If you are tall, you will need a long track. (2) The weight limit. They always over estimate the weight limit so if the limit is 275 pounds? You better be under 250 or the machine is going to break. (3) The incline. You want to be able to simulate walking up a slight hill. It doesn't have to be a crazy 30% incline, but you will want some kind of an incline (10% is often fine) to continually challenge yourself as your body adapts to the exercise.

If you are getting a stationary bicycle or an elliptical, you want to understand the mechanism that provides resistance. Some devices will use friction as resistance by pressing rubber pads against the moving part. Other devices will use magnets for the resistance. I find the rubber pads make a lot of noise and wear out. On the other hand, magnets must be powered by a battery or an electrical outlet. Batteries tend to give unequal resistance - all dependent on the charge of the batteries at the time of use. So, here is my recommendation: magnetic resistance via electricity - the device needs to plug into the wall. If it doesn't plug into the wall, make sure you can still purchase the optional electric cord so you can plug it in.


You want to try it before you buy it. When you try it, listen for sounds such as rattles and squeaks. The sounds might not show up until after the machine warms up a little. Small squeaks become big squeaks and will drive you (and everyone in your house) nuts. You also want to feel for nice fluid motion. Even a small bump or jolt will lead to joint pain over prolonged use. If you are handy, you can usually order the parts and repair the equipment yourself. If you aren't handy - stay away from equipment that is demonstrating problems.


When you get the equipment home, you want to place it on a rubber mat even if using the equipment on carpet. It can be a thin rubber mat or those foam floor puzzle pieces - it doesn't matter. The mat will protect your floor, will protect the equipment, and will protect you while in use.


If you decided to go with used equipment, you might not know how long the equipment sat unused. Most equipment is lubricated with a long lasting silicon lubricant. However, time, dust, and lack of use can cause the silicon to become ineffective. You should give all the moving parts a once-over with a high temperature silicon lubricant.


There you have it! My advice on obtaining home exercise equipment. Let me know how it goes, and, good luck!

Sunday, March 18, 2018

Thyroidectomy Weight Control: Hunger: Reduce Fats and Eat More





My favorite meal of the day is breakfast. My favorite breakfast is the McDonalds Big Breakfast with hot cakes. It comes with egg, sausage, biscuit, pancakes, and a hash brown. I don't eat the hash brown, and I find the hot cakes are sweet enough to eat plain. Even without the syrpt, butter, jam, and hashbrown - that breakfast is around 800 calories! Afterwards, I am still hungry. How is that possible?

The answer lies in the amount of fat. Eggs, sausage and biscuit are 33 grams of fat. By now you should know that each gram of fat has 9 calories (compared to protein and carbs that have 3).  33 x 9 = 297 calories from fat, or, around seventy percent of the calories from those three food items combined come from fat.

The biscuit, egg, and sausage consist of 33 grams of fat and 129 grams of carbs, protein, and everything else; totaling 162 grams. Even though the fat is only 20% of the grams (the amount of food) it accounts for nearly 70% of the calories! If you replaced this breakfast with a fat free option, you could consume over 220 grams for the same calories (40% more food). In other words, healthier choices would allow one to eat more and still eat fewer calories.

I have a general rule: if it tastes good, it probably isn't good for you. The McDonalds big breakfast tastes really good.  What is the point of gorging all those calories and not feeling stuffed afterwards? 

Saturday, March 17, 2018

Kevin's Kitchen: Kale Vegetable Soup

Your slow cooker is a quick road to dinner heaven!

A thyroidectomy requires a life change. That includes changing eating habits. The purpose of Kevin's Kitchen is to help those with no (or little) cooking skills to create great meals.



Slight departure this week: Core Life Eatery inspired meal. 4-5 pounds of Chicken breasts,  3-4 cans of mixed vegetables, celery cut up, and chicken broth. Seasoned with a bay leaf and Kickn Chicken seasoning. Let it cook all day. Serve it in a bowl over shredded kale.